A 58 years old male patient underwent esophagectomy for esophageal cancer.Refractory chylothorax happened after operation in spite of different treatment including conservation therapy and thoracic duct ligation.He wa...A 58 years old male patient underwent esophagectomy for esophageal cancer.Refractory chylothorax happened after operation in spite of different treatment including conservation therapy and thoracic duct ligation.He was enterally administrated 250 mL 30% intralipid before operation.Exploration showed there was a milky leakage from the soft tissue near the anastomotic stoma behind aortic arch where is difficult to handle.We gently mobilized the aorta in the front of the ninth spine and bundled it with its adjacent tissue including azygos vein and thoracic duct with a dacron patch.The leakage ceased rightly and the following recovery went smoothly.展开更多
文摘A 58 years old male patient underwent esophagectomy for esophageal cancer.Refractory chylothorax happened after operation in spite of different treatment including conservation therapy and thoracic duct ligation.He was enterally administrated 250 mL 30% intralipid before operation.Exploration showed there was a milky leakage from the soft tissue near the anastomotic stoma behind aortic arch where is difficult to handle.We gently mobilized the aorta in the front of the ninth spine and bundled it with its adjacent tissue including azygos vein and thoracic duct with a dacron patch.The leakage ceased rightly and the following recovery went smoothly.
